Tag Archives: Neuroscience

The Neurological Basis of Williams Syndrome

Williams Syndrome is a rare non-fatal congenital condition in which affected children are mildly to moderately retarded and score below average on IQ tests. They usually read and write poorly and struggle with simple arithmetic,  yet they display unique abilities in other areas of intelligence, especially emotional intelligence involving socializing and empathy. The disorder affects males and female from all racial backgrounds at an equal probability.

The disorder is caused by deletion of a tiny piece from one of the two copies of chromosome 7 present in every cell of the body. Twenty-give or more genes are deleted and loss of one in particular (ELN) which codes for elastin, a connective protein gives rise to cardiovascular problems.

Such cardiovascular problems include heart murmurs and narrowing of major blood vessels, and supravalvular aortic stenosis, a constriction of the aorta. Babies may have difficulty feeding or suffer from stomach pains and hernias.  As they develop, they show delayed physical and mental development with unsteady voices. They walk awkwardly for the rest of their lives and fine motor control is impaired. They are also highly sensitive to noise, grow to a  shorter height than average and seem to have gray hair and wrinkles earlier. Lifespan for Williams patients is shorter than average due to the complications from these medical problems, but not from the Syndrome itself.

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Williams patients usually have vocabularies larger than expected for their mental age and tend to be more expressive than normal children. However, they typically do poorly on tasks involving visual processing such as coloring and copying drawings. The brain anatomy of Williams syndrome patients is normal, but the total volume is slightly reduced. The areas that seem to be unaffected include the frontal lobes and a part of the cerebellum called the neocerebellum, as well as parts of the temporal lobes known as the limbic area, and the primary auditory area.

Study of this syndrome has shown that low IQ scores can indeed cover the existence of other skills and capacities. And it thus serves as an example that other so-called mentally disabled individuals could have lots of potential waiting to be discovered if only researchers and society take the time to look for and nuture them.

References:

Hemizygosity at the Elastin Locus in a Developmental Disorder: Williams Syndrome. A.K. Ewart et al. in Nature Genetics, Vol. 5, No. 1, pages 11-16; September 1993.

http://children.webmd.com/williams-syndrome-11011

The Neuropsychology Behind Rubbing that Stubbed Elbow

Everyone has experienced it at least once, where a slip or misjudgement quickly led to a painful stubbing of your elbow or toe. Usually when this happens though, there’s a near reflexive behavior we exhibit: we begin to rub the injured area instinctively-thinking this will help the pain! Could there be an actual biological purpose behind this? Well according to a 20th century theory from Neuroscientists Ronald Melzack and David Wall, pain and touch may actually compete for perception from your elbow to the brain. This  concept is known as the Gate Control Theory of Pain, and is still a dominant theory of the interactions of touch and pain today.

So how could rubbing your whacked elbow dull out the pain? The theory is based on the pathways of two receptors: mechanoreceptors, which transmit touch as changes in pressure, vibration and movement on the skin; and nociceptors, which transmit pain from damage or potential damage to the skin. Both receptors send nerve signals through different pathways to a region of the spinal cord known as the Substantia Gelatinosa (SG), which is full of transmission cells that send pain and touch signals to the brain.

Though both pain and touch nerve fibres leave the skin and arrive at the SG, the speeds at which they get there are drastically-different. Touch sensations reach the spinal cord through A-beta fibres, which are very fast due to their wide, myelinated axons. The sharp pain of nociception travels through slightly-slower myelinated A-delta fibres, and that dull, throbbing pain we feel occurs from a separate, slower C fibre.

The three theoretical states of the Pain Control gate. Via HowStuffWorks.com (References)

What Melzack and Wall’s Gate Control Theory proposes is that if touch and pain meet together in the SG, then touch will have an inhibitory effect on the transmission of the sensation of pain (left). So relating this back to that painfully-stubbed elbow, at first you’d may remember feeling a sharp A-delta pain followed by a dull C-fibre one (S). However, if you rub at the injured area afterwards, then the fast A-beta touch fibres (L) may cause an overwhelming inhibitory effect on the pain transmission through the SG, exchanging the perception as touch instead! So perhaps rubbing that elbow really does make a difference in the end. Worth noting though is there is a reason this theory has received scrutiny; it is a rather simple theory to explain an entire range of somatosensation we experience, and recent physiological work has shown that the transmission of pain and touch is more complicated than what the Pain Control Gate theory suggests. Regardless, it may be the only somatosensory theory that can explain the many observed interactions between pain and touch, including why rubbing the skin of that stubbed elbow seems to mask the pain so well.

References

Wolfe, J. M., Kluender, K. R., Levi, D. M., Bartoshuk, L. M., et al. (2009). Sensation and Perception. (2nd ed.). Sinauer Associates, Inc.

http://www.drgordongadsby.talktalk.net/page13.htm

http://science.howstuffworks.com/environmental/life/human-biology/pain4.htm